ArticleNeurology2013
Thrombolytic utilization for ischemic stroke in US hospitals with neurology residency program.
Article in Neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 34 citations in OpenAlex.
- Trial
- Demographic and institutional predictors of stroke hospitalization mortality among adults in the United States.eNeurologicalSci · 2022Article
- Stroke 20 20: Implementation goals for intravenous thrombolysis.European stroke journal · 2021Article
- Strategy for reliable identification of ischaemic stroke, thrombolytics and thrombectomy in large administrative databases.Stroke and vascular neurology · 2021Article
- Simple but Organized Neurology Residency Training Improves the Quality of Acute Stroke Care: From the Outset to Long-Term Effect.Journal of stroke · 2021Article
- Decade-Long Nationwide Trends and Disparities in Use of Comfort Care Interventions for Patients With Ischemic Stroke.Journal of the American Heart Association · 2021Article
- Patient profiles contribute to differences in quality metrics of stroke centers.Neurosciences (Riyadh, Saudi Arabia) · 2020Article
- Saudi neurology residents' knowledge and attitudes toward intravenous thrombolysis in patients with acute ischemic stroke.Journal of family medicine and primary care · 2020Article
- Observational
- Absence of July Phenomenon in Acute Ischemic Stroke Care Quality and Outcomes.Journal of the American Heart Association · 2018Article
- Chinese neurologists' perspective on intravenous thrombolysis for acute ischemic stroke.Brain and behavior · 2018Article
- Is cirrhosis associated with lower odds of ischemic stroke: A nationwide analysis?World journal of hepatology · 2016Article
- Patient Age and the Outcomes after Decompressive Hemicraniectomy for Stroke: A Nationwide Inpatient Sample Analysis.Neurocritical care · 2016Article
- How can we improve stroke thrombolysis rates? A review of health system factors and approaches associated with thrombolysis administration rates in acute stroke care.Implementation science : IS · 2016Review
- The ThRombolysis in UnconTrolled Hypertension (TRUTH) protocol: an observational study on treatment strategy of elevated blood pressure in stroke patients eligible for IVT.BMC neurology · 2015Observational
- Outcome in acute ischemic stroke patients treated with intravenous thrombolysis - a retrospective and statistical analysis of five years' experience.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologieArticle
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectiveWe aimed to compare the rates of thrombolysis utilization for acute ischemic stroke in hospitals with neurology residency (NR) to those of other teaching (OT) and nonteaching (NT) hospitals.
methodsA retrospective serial cross-sectional cohort study of a nationally representative sample of stroke patients was conducted. Accreditation Council for Graduate Medical Education-accredited NR program-affiliated hospitals in the United States were cross-matched to the hospitals in the Nationwide Inpatient Sample from 2000 to 2010. ICD-9-CM codes were used for case ascertainment.
resultsA total of 712,433 adult ischemic stroke patients from 6,839 hospital samples were included, of whom 10.1%, 29.1%, and 60.8% were treated in NR, OT, and NT hospitals, respectively. Stroke patients in NR received thrombolysis more frequently (3.74% ± 0.24% [standard error]) than in OT (2.28% ± 0.11%, p < 0.001) and NT hospitals (1.44% ± 0.06%, p < 0.001). The adjusted odds ratios (ORs) of thrombolysis rates in NR vs OT and NR vs NT increased with each decade increment in age. In multivariate analysis, NR was independently predictive of higher thrombolysis rate (adjusted OR 1.51; 95% confidence interval [CI] 1.44-1.59 [NR vs OT], and adjusted OR 1.82; 95% CI 1.73-1.91 [NR vs NT]).
conclusionsAcute stroke care in NR hospitals is associated with an increased thrombolytic utilization. The disparities between the thrombolysis rate in NR and that in OT and NT hospitals are greater among elderly patients.
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